Ocular Lesions Other Than Stings Following Yellow-Legged Hornet ( Vespa velutina nigrithorax ) Projections, as Reported to French Poison Control Centers
Autor: | Jérôme Langrand, Luc de Haro, Nicolas Delcourt, Gaël Le Roux, Hervé Laborde-Castérot, Dominique Vodovar, Magali Labadie, Eric Darrouzet |
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Přispěvatelé: | Institut de recherche sur la biologie de l'insecte UMR7261 (IRBI), Université de Tours-Centre National de la Recherche Scientifique (CNRS), VODOVAR, Dominique, Hôpital Lariboisière-Fernand-Widal [APHP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université de Tours (UT)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Hôpital Pellegrin, CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin, Centre Hospitalier Universitaire de Toulouse (CHU Toulouse), Toulouse Neuro Imaging Center (ToNIC), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Toulouse Mind & Brain Institut (TMBI), Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Université Toulouse - Jean Jaurès (UT2J)-Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées, Hôpital Sainte-Marguerite [CHU - APHM] (Hôpitaux Sud ), Optimisation thérapeutique en Neuropsychopharmacologie (OPTeN (UMR_S_1144 / U1144)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), French Poison Control Centers Research Group, Darrouzet, Eric |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
Eye Diseases [SDV]Life Sciences [q-bio] Wasps MESH: Occupational Health Periorbital Edema Poison control Wasp Venoms MESH: Wasp Venoms 01 natural sciences MESH: Occupational Exposure Occupational safety and health 0302 clinical medicine Interquartile range MESH: Animals Fluorescein Angiography ComputingMilieux_MISCELLANEOUS MESH: Eye Diseases MESH: Middle Aged medicine.diagnostic_test Brief Report Middle Aged Fluorescein angiography MESH: Fluorescein Angiography Occupational Diseases [SDV] Life Sciences [q-bio] [SDV.TOX] Life Sciences [q-bio]/Toxicology [SDV.MHEP.OS] Life Sciences [q-bio]/Human health and pathology/Sensory Organs [SDV.TOX]Life Sciences [q-bio]/Toxicology MESH: Pest Control Female France MESH: Firefighters MESH: Wasps Adult MESH: Occupational Diseases medicine.medical_specialty Poison Control Centers Keratitis 03 medical and health sciences Occupational Exposure medicine Animals Humans 0101 mathematics [SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs Occupational Health Retrospective Studies Vespa velutina MESH: Humans business.industry 010102 general mathematics MESH: Poison Control Centers Correction MESH: Adult MESH: Retrospective Studies Retrospective cohort study medicine.disease Dermatology MESH: Male eye diseases MESH: France Ophthalmology Firefighters 030221 ophthalmology & optometry Pest Control business MESH: Female |
Zdroj: | JAMA Ophthalmology JAMA Ophthalmology, American Medical Association 2020 HAL JAMA Ophthalmology, 2021, 139 (1), pp.105. ⟨10.1001/jamaophthalmol.2020.4877⟩ JAMA Ophthalmol |
ISSN: | 2168-6165 2168-6173 |
DOI: | 10.1001/jamaophthalmol.2020.4877⟩ |
Popis: | International audience; Importance: Since the accidental introduction of the yellow-legged hornet (Vespa velutina nigrithorax) in France in 2004, there have been reports of this insect unexpectedly projecting a liquid toward the human face, but ocular morbidity associated with this is unknown, to our knowledge.Objective: To describe a case series of ocular lesions after exposure to a liquid projection emitted by a hornet.Design, setting, and participants: This was an analysis of all cases of ocular exposure to a projection by a yellow-legged hornet (excluding stings in the eye) collected by French poison control centers between January 1, 2004, and December 31, 2019.Main outcomes and measures: Symptoms were evaluated, and a fluorescein eye stain test was used.Results: Twenty-nine cases were recorded (24 in male and 5 in female patients; median age, 40 [interquartile range, 11] years); the first occurred in 2009. Most cases (20 [80%]) were occupational exposure among professionals dealing with hornet nests (eg, firefighters, wasp exterminators). Symptoms consistent with conjunctivitis often resolved quickly after ocular decontamination, but 5 patients developed a periorbital edema, 2 experienced radiating neuropathic pain, and 2 experienced keratitis.Conclusions and relevance: These findings suggest that the projection of a liquid into the eyes by the yellow-legged hornet presents a new risk to human health, but its precise nature remains to be determined. Ocular lesions had a favorable outcome. For professionals who deal with these insects, adaptation of the usual protections designed for native hymenopterans may be warranted. |
Databáze: | OpenAIRE |
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